Table 1. Clinical Trials of DLBCL Treatment Evaluating Role of Specific Biomarkers.
Reference | Biomarker | Study/patient population | Intervention | Main results |
---|---|---|---|---|
Mounier et al, 2003[35] | BCL2 | Patients aged between 60-80 years with DLBCL Stage II or higher | R-CHOP versus CHOP | Rituximab can prevent chemotherapy failure in patients with BCL2 protein overexpression. |
Wilson et al, 2008 [36] | BCL2 | Patients aged ≥ 18 years with untreated DLBCL of stage II or higher | DA-EPOCH-R versus DA-EPOCH | Addition of rituximab only benefited patients with BCL2 positive tumors. |
Winter et al, 2006 [37] | BCL6 | DLBCL patients aged ≥ 60 years included in E4494, C9793, S4494 trial and with adequate pathology sample | R-CHOP versus CHOP | The addition of R to CHOP reduced treatment failures and death in BCL6-DLBCL cases only. BCL2 protein expression was not predictive of outcome in both groups. |
Wilson et al, 2008 [36] | BCL6 | Patients aged ≥ 18 years with untreated DLBCL of stage II or higher | DA-EPOCH-R versus DA-EPOCH | BCL6 expression was associated with higher PFS. |
Winter et al, 2010 [38] | p21 | DLBCL patients aged ≥ 18 years included in E4494 trial and with adequate pathology sample trial | R-CHOP versus CHOP | p21 expression was a favorable independent prognostic indicator in patients treated with R-CHOP but not with CHOP alone. The addition of R to CHOP selectively benefited the p21 positive patients. |
Liu et al, 2007 [39] | PRDM1: PRDM1α and PRDM1β | DLBCL patients aged ≥ 18 years with adequate pathology sample | R-CHOP versus CHOP | In the non-GCB patients, PRDM1β gene expression was correlated with short survival time in CHOP versus R-CHOP. |
BCL: B-cell leukemia/lymphoma; CHOP: cyclophosphamide, doxorubicin, vincristine and prednisone; DA-EPOCH: dose-adjusted etoposide, prednisone, oncovin (vincristine), cyclophosphamide, and hydroxydaunorubicin (doxorubicin); DLBCL: diffuse large B-cell lymphoma; GCB: germinal center B-cell; PRDM1: positive regulatory domain 1; R: rituximab.